Retrospective analysis of the short- and longterm results of 718 exploratory laparotomies in horses with gastrointestinal disease

Siebke, A U; Keller, Harald Hagen; Lauk, H D; Plocki, K A von

doi:10.21836/pem19950501

Cited by 8 publications

(22 citation statements)

References 4 publications

(9 reference statements)

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“…Success rates of surgical treatment of such disorders ranged between 18% (Siebke et al, 1995), 28.3% (Plocki, 2005) and 68.4% (Hunt et al, 1986). Primary affection of the stomach, which is often classified as one of these disorders, was associated with a mortality rate of 100% in our group of patients.…”

Section: Discussionmentioning

confidence: 77%

“…Hunt et al (1986) reported success rates of 52.4% and 47.4% for treatments of the large and small intestine, respectively, Brodowski et al (2000) reported those of 74% and 71.1%. Siebke et al (1995) reached survival rates of 72% and 60% for the large colon and small intestine surgery, respectively, Plocki (2005) those of 75.3% and 65.8%, Johnson and Keller (2005) of 54% and 51%. Mair and Smith (2005) discharged from hospital 89.9%, 100% and 75.2% of horses after surgical treatments of the large colon, small colon and small intestine, respectively.…”

Section: Discussionmentioning

confidence: 93%

“…Johnson and Keller (2005) found lesions of the small intestine in 42% of all cases, and lesions of the colon, stomach and caecum in 41%, 8% and 2% of the cases, respectively. In the group of horses analysed by Siebke et al (1995), as much as 67% of the animals were affected by lesions of the large intestine and only 25% by small intestinal ileus. In contrast, ileus of the small intestine represented the most frequent reason for surgery in our study.…”

Section: Discussionmentioning

confidence: 97%

“…The success of colic surgery in horses is influenced by factors such as alteration of the general health state, cause and duration of colic as well as by experiences of the surgeon with surgical technique, anaesthesia of patients with the altered cardiovascular state, and with treatment of postoperative complications (Pascoe et al, 1983;Siebke et al, 1995;Brodowski et al, 2000;Freeman et al, 2000;Johnson and Keller, 2005;Mair and Smith, 2005;Plocki, 2005, and others).…”

Section: Discussionmentioning

confidence: 99%

“…The success of surgical treatment of colic increased substantially due to advances in anaesthesiology, perioperative and postoperative care and surgical technique. Extensive literature on experiences with surgical treatment of equine colic can be found (Pascoe et al, 1983;Siebke et al, 1995;Brodowski et al, 2000;Johnson and Keller, 2005;Mair and Smith, 2005;Plocki, 2005, and others).…”

mentioning

confidence: 99%

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Analysis of clinical and perioperative findings in 576 horses subjected to surgical treatment of colic

Mezerova¹,

Žert²,

Kabeš³

et al. 2008

Vet. Med. - Czech

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Colic was treated surgically in 576 horses (545 individuals). Twenty-seven horses were subjected to surgery twice and two horses three times during the period of this study. A total of 371 horses (64.4%) were discharged from the hospital, 205 animals (35.6%) died or were euthanised; 16 of them died during anaesthesia, 102 horses were subjected to euthanasia during surgery, 24 patients did not recover from anaesthesia after surgery completion, and 63 horses did not survive the postoperative period. Ileus of the small intestine was diagnosed in 267 cases (46.4%), affection of the large colon in 239 cases (41.5%), lesion of the small colon in 22 cases (3.8%), lesion of the caecum in 19 cases (3.3%), and affection of stomach and rectum in four and one cases, respectively. In 14 animals (2.4%), lesions were located at two different sites of the gastrointestinal tract. In four horses, the cause of colic was located outside the gastrointestinal tract. Three animals were affected by diffuse peritonitis. No gastrointestinal lesion could be identified during surgery in three horses with recurrent colic. The most common causes of small intestine ileus included incarceration in inguinal hernia (50 of 267 horses, 18.7%), hernia of the omental foramen (31 of 267 horses, 11.6%), anterior enteritis (19 of 267 horses, 7.1%), mesenterial volvulus (18 of 267 horses, 6.7%), and ileal impaction (18 of 267 horses, 6.7%). The most common caecal disorder was acute constipation/dysfunction (5 of 19 horses, 26.3%). Frequent causes of the large colon colic were torsion (63 of 239 horses, 26.4%), left dorsal displacement (36 of 239 horses, 15.1%), and right dorsal displacement (23 of 239 horses, 9.6%). The small colon was most often affected by focal obstruction/constipation (9 out of 22 horses, 40.9%). Surgical treatment of colic of the small intestine, caecum, large colon, and small colon was successful in 59.6%, 36.8%, 73.3%, and 63.6% of the cases, respectively.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Analysis of clinical and perioperative findings in 576 horses subjected to surgical treatment of colic

Mezerova¹,

Žert²,

Kabeš³

et al. 2008

Vet. Med. - Czech

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Treatment and Follow‐Up of Clinical Cyathostominosis in Horses*

Deprez¹,

Vercruysse

2003

Journal of Veterinary Medicine Series A

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The results of the treatment with moxidectin or ivermectin of 20 horses with clinical cyathostominosis were studied during a 3-week observation period. Both treatments were effective in completely eliminating larvae from the faeces within 1 or 2 weeks, but no significant improvement in body weight or clinical parameters could be demonstrated over the observation period. The poor short time results of the treatment support the need for an adequate prevention of cyathostominosis in horses.

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Evaluation of Clinical and Laboratory Variables as Prognostic Indicators in Hospitalised Gastrointestinal Colic Horses

Ihler

Venger

Skjerve³

2004

Acta Vet Scand

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Ihler CF, Larsen J and Skjerve E: Evaluation of clinical and laboratory variables as prognostic indicators in hospitalised gastrointestinal colic horses. Acta vet. scand. 2004, 45, 109-118. -The present prospective study included 106 horses referred to the Department of Large Animal Sciences, The Norwegian School of Veterinary Science, as non-responders to the initial colic treatment in general practise. In 14 of these cases a required surgical treatment was not performed due to economical or other reasons and were excluded from the study. Clinical and laboratory data were obtained at the arrival in the hospital. The outcome for all analyses was survival/ non-survival. A multivariable logistic regression was performed. The analyses were used in medically (46 horses) and surgically treated cases (46 horses) separately. The same analyses were also run for all 92 horses in a simulated "field" situation, where only clinical variables and D-dimer values were included. The fraction of survivors was 78% in the medical and 48% in the surgical cases. In total 63% of the horses survived. In the final multivariable logistic regression model packed cell volume (PCV) was the only important predictor for medically treated cases, and heart rate and presence of hyperaemic or cyanotic mucous membranes were the predictors in the surgically treated cases as well as in the simulated "field" situation. In conclusion, traditional variables as heart rate, mucous membranes and PCV were the important predictors for the outcome in hospitalised colic cases.

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Retrospective analysis of the short- and longterm results of 718 exploratory laparotomies in horses with gastrointestinal disease

Cited by 8 publications

References 4 publications

Analysis of clinical and perioperative findings in 576 horses subjected to surgical treatment of colic

Analysis of clinical and perioperative findings in 576 horses subjected to surgical treatment of colic

Treatment and Follow‐Up of Clinical Cyathostominosis in Horses*

Evaluation of Clinical and Laboratory Variables as Prognostic Indicators in Hospitalised Gastrointestinal Colic Horses

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